Mitundu yowonongeka yotchedwa Impibable (ICDs) imathandiza kwambiri popewera kufa kwa mtima mwadzidzidzi kuchokera m'maganizo a mtima . Mwamwayi, ambiri mwa anthu okwana 400,000 a ku America omwe amafa mwadzidzidzi chaka chilichonse sadziwa kuti chiopsezo chawo chili chachikulu - choncho sichikhala ndi mwayi woganizira ICD.
Aliyense amene ali ndi matenda aakulu a mtima, kapena ali ndi achibale ake apamtima omwe aphedwa mwadzidzidzi, ayenera kuyankhula ndi adokotala za chiopsezo chawo chakufa mwadzidzidzi.
Ngati chiopsezo chanu chili pamwamba, muyenera kukambirana za ICD.
Kodi Muli Ndi Vuto Lowonjezereka la Imfa Yodzidzimutsa?
Anthu omwe ali pangozi yowonongeka mwadzidzidzi kawirikawiri amakhala m'magulu anayi:
1) Anthu omwe ali ndi matenda akuluakulu a mitsempha yam'mimba (CAD) . Makhalidwe okhudzana ndi CAD akhoza kutha mwadzidzidzi, kutulutsa zinthu zambiri zotchedwa Acute Coronary Syndrome (ACS) .
Imodzi mwa zotsatira zoopsa za ACS ndi kumangidwa kwa mtima. Izi zimachitika chifukwa kupweteka kwapopeni kungasokoneze magetsi a mtima, kutulutsa tachycardia (VT ) mwadzidzidzi kapena ventricular fibrillation (VF) . Akuti pafupifupi 30 peresenti ya anthu omwe ali ndi CAD yaikulu, imfa mwadzidzidzi ndi chizindikiro choyamba chomwe matendawa alipo.
Nthawi zambiri, anthu omwe ali ndi CAD koma asanakhale ndi matenda a mtima wamagetsi samasowa ICD. M'malo mwake, anthuwa amafunika kuchita zinthu zowononga kuti athetse mavuto omwe amadziwika kuti apititse patsogolo CAD ndikupanga kupasuka kwala.
Kusamalira bwino chithandizo chamankhwala komanso kusintha kwa moyo wanu kungachepetse chiopsezo cha imfa yamodzidzidzimutsa, matenda a mtima, ndi angina .
2) Anthu omwe ali kale ndi VT kapena VF, makamaka ngati arrhythmia yachititsa mtima kumangidwa kapena kutaya chidziwitso. Anthuwa ali ndi chiopsezo chachikulu chokhala ndi mtima wina - mwinamwake mwayi umodzi mwa asanu chaka chilichonse - ndipo pafupifupi onsewo ayenera kuperekedwa ndi ICD.
3) Anthu omwe ali ndi mtima wathanzi omwe amachepetsedwa mochepa kwambiri . Akuti pafupifupi 50% odwala omwe ali ndi vuto lalikulu la mtima amatha kumangidwa mtima. Zotsatira zamakono zimalimbikitsa kuti ma ICD ayenera kuganiziridwa kuti anthu omwe magawo awo a ejection amachepetsedwa kukhala 35% kapena otsika.
Ichi ndi chimodzi mwazifukwa, ngati muli ndi matenda a mtima pafupifupi mtundu uliwonse, nkofunika kudziwa gawo lanu lopanda.
4) Anthu omwe ali ndi zofooka za mtima zomwe zimapangitsa VT kapena VF kuti ichitike. Zinthu zimenezi zimaphatikizapo matenda a QT syndrome , hypertrophic cardiomyopathy , ndi matenda a Brugada . Ma ICD angapewe imfa yodzidzimutsa muzikhalidwe zomwe zatulutsidwa ndipo ziyenera kuganiziridwa mozama mwa anthu ambiri okhudzidwa. Aliyense yemwe ali ndi mbiri yolimba ya banja la imfa yodzidzimutsa ayenera kukambirana mbiri yawo ya banja ndi dokotala ndikufunsa ngati pali mayesero apadera omwe ayenera kuchitidwa. Kawirikawiri, ECG yosavuta komanso mwina echocardiogram ingakhale yokwanira kuthetsa mavuto omwe anthu ambiri amabadwa nawo omwe amachititsa kuti pakhale kufa kwadzidzidzi.
Ngati mukukhulupilira kuti iliyonse mwazinthu izi zingagwiritsidwe ntchito kwa inu, muyenera kukambirana ndi dokotala wanu za momwe mungapangire imfa yanu mwadzidzidzi.
Kukhala ndi ICD Ngati Kuopsa Kwanu Kukukwera
ICD si aliyense. Pali ngozi ndi zipangizozi komanso phindu. Kaya muli ndi chimodzi - ngakhale ngati chiopsezo chanu chikukwera ndipo muli ndi "chizindikiro" cha ICD - nthawi zonse ndi chisankho. Komabe, musanakhale ndi mwayi wopanga chisankho ichi, muyenera kuzindikira kuti chiopsezo chanu chakufa mwadzidzidzi chakwera. Tsoka ilo, madokotala ambiri ali (moyenera) akukayikira kufotokoza nkhaniyi ndi odwala awo. Choncho, ngati mukudandaula kuti mungakhale ndi chiopsezo chowonjezereka, pewani chisanu - funsani dokotala kuti akambirane nanu.
> Zotsatira:
Russo AM, Stainback RF, Bailey SR, et al. ACCF / HRS / AHA / ASE / HSESA / SCAI / SCCT / SCMR 2013 yoyenera kugwiritsa ntchito njira zothandizira anthu odwala matenda opatsirana pogwiritsa ntchito mankhwala opatsirana ndi matenda a mtima. Mbiri ya American College of Cardiology Foundation yoyenera ntchito yogwira ntchito, Heart Rhythm Society, American Heart Association, American Society of Echocardiography, Heart Failure Society of America, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, ndi Society for Cardiovascular Magnetic Resonance. J ndi Coll Cardiol 2013; 61: 1318.